Individual
MICHELLE MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 WALDO ST, RUMFORD, ME 04276-1617
(207) 364-3711
Mailing address
PO BOX 91, NEWRY, ME 04261-0091
(207) 239-9822
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR4128
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PR4128
PHARMACIST LICENSE
ME
Enumeration date
11/30/2020
Last updated
11/30/2020
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